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1376213272
JIM KARL ANDERSON
PORTLAND, OR
NPI
1376213272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 26107)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
JIM KARL ANDERSON
2505 SW SPRING GARDEN ST STE 100
PORTLAND, OR 97219-3966
Phone number: 503-841-6222
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Mailing Address
JIM KARL ANDERSON
5410 SW 42ND AVE
PORTLAND, OR 97221-3567
Phone number: 503-975-8229
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